| NPI | 1841303963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN274443) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA 274443) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2024-04-12 |